Permanent Financing Refinance (Quote)

1. Borrowers Name *

First

Last

2. Borrowers Phone Number *

3. Borrowers Email Address *

4. Is borrower a US Citizen? *

YES
NO

5. Company name the Borrower is closing in (must close in a Corporate Entity):

6. Who makes up the Entity and what are their percentages of ownership? *

7. Address of Subject Property *

Address Line 1

City

State

Zip Code

8. How many Acres of Land is the Property on?

9. What is the current square footage of the Property? *

10. Exact Property Type: *

11. HOA amount (if any)

12. Is this Property vacant or occupied? *

Vacant
Occupied

13. Current Fair Market Value of Property *

14. When does the Borrower need to Close? *

15. How much Cash on hand does the Borrower have? *

16. How many Properties has the Borrower BOUGHT or SOLD within the past 3 years? (excluding Primary)

Selected Value: 0

17. How many Investment/Rental properties does the Borrower currently own?

Selected Value: 0

18. When was the Property originally Purchased? *

18B. How much was the original Purchase Price? *

19. How much Rehab has been completed? *

19. How much Debt is currently on the Property? *

20. What are the Annual Taxes on the Property? *

21. What is the Annual Insurance on the Property? *

22. How much is the Monthly Rental Income per Unit? *

23. What is the Borrowers FICO Score?

Selected Value: 450

24. Please list Borrowers Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

25. Does the Borrower Rent or Own their Primary Residence? *

RENT
OWN

25B. Please list monthly payment at Primary Residence: *

26. Does the Borrower have any IRS issues, Tax liens, judgments, past bankruptcies, past chapter filings, past foreclosures, recent or pending lawsuits against them? If so please explain and list date: *

27. Has the Borrower ever had any Mortgage deliquent payments? If so when were they? *

28. Is the Borrower already working with another Lender or Broker? *

YES
NO